Provider Demographics
NPI:1639363880
Name:LUNDY, SHANNON MICHELE (PHD)
Entity Type:Individual
Prefix:DR
First Name:SHANNON
Middle Name:MICHELE
Last Name:LUNDY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3333 CALIFORNIA ST
Mailing Address - Street 2:SUITE 245
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-1981
Mailing Address - Country:US
Mailing Address - Phone:415-476-2185
Mailing Address - Fax:
Practice Address - Street 1:3333 CALIFORNIA ST
Practice Address - Street 2:SUITE 245
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1981
Practice Address - Country:US
Practice Address - Phone:415-476-2185
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-30
Last Update Date:2012-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist